This study will evaluate the efficacy, safety and tolerability, as well as PK/PD of OCA in eligible pediatric participants with biliary atresia with successful hepatoportoenterostomy (HPE, also known as a Kasai portoenterostomy). The double-blind period comprises of 2 phases: dose titration phase and age expansion treatment phase.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
28
OCA will be administered.
Matching Placebo will be administered.
Queensland Childrens Hospital
South Brisbane, Queensland, Australia
Women's and Children's Hospital
North Adelaide, South Australia, Australia
Royal Childrens Hospital
Parkville, Victoria, Australia
Alberta Childrens Hospital
Calgary, Alberta, Canada
Stollery Children's Hospital
Edmonton, Alberta, Canada
Children's Hospital, Zhejiang University School of Medicine
Hangzhou, Zhejiang, China
Guangzhou Women And Childrens Medical Center
Guangzhou, China
Children's Hospital of Fudan University
Shanghai, China
Childrens Hospital of Shanghai
Shanghai, China
Children's Hospital of Shanxi
Taiyuan, China
...and 14 more locations
Time to the First Occurrence of Composite Endpoint
To evaluate the effect of OCA compared to placebo in conjunction with established local standard of care on clinical outcomes in participants with biliary atresia who have had a successful Kasai procedure as measured by time to first occurrence of any of the following adjudicated events, derived as composite event endpoint of all-cause death, liver transplant, Pediatric end-stage liver disease (PELD) score ≥17/model of end-stage liver disease (MELD)≥15, Hospitalization (as defined by a stay of 24 hours or greater) for new onset or recurrence of Variceal bleed, hepatic encephalopathy (as defined by a West Haven score of ≥2), Spontaneous bacterial peritonitis (confirmed by diagnostic paracentesis) and Clinically evident ascites related to poral hypertension (diuretic-resistant ascites requiring therapeutic paracentesis at a frequency of at least twice in a month)
Time frame: Up to Week 64
Plasma concentration of unconjugated OCA (parent), glyco-OCA, tauro-OCA, and total OCA (molar sum of OCA and its active conjugates)
Plasma concentrations of OCA and its conjugates (glyco-OCA and tauro-OCA) will be determined using validated liquid-chromatography mass spectrometry/mass spectrometry methods
Time frame: Up to Week 64
Change from Baseline in Gamma Glutamyl Transferase (GGT)
Blood samples will be calculated to assess GGT levels.
Time frame: Baseline and up to Week 64
Change from Baseline in total and direct (conjugated) bilirubin
Blood samples will be calculated to assess total and direct (conjugated) bilirubin levels.
Time frame: Baseline and up to Week 64
Change from Baseline in Fibroblast Growth Factor-19 (FGF-19)
Blood samples will be calculated to assess FGF-19
Time frame: Baseline and up to Week 64
Change from Baseline in 7-hydroxyl-4-cholesten-3-one (C4)
Blood samples will be calculated to assess C4
Time frame: Baseline and up to Week 64
Change from Baseline in endogenous bile acids
Blood samples will be calculated to assess endogenous bile acids
Time frame: Baseline and up to Week 64
Change from Baseline in liver stiffness as assessed by transient elastography
Time frame: Baseline and up to Week 64
Change from Baseline in plasma levels of fat-soluble vitamins (D and K)
Blood samples will be calculated to assess plasma levels of fat-soluble vitamins (D and K)
Time frame: Baseline and up to Week 64
Safety and tolerability as assessed by the incidence of treatment-emergent adverse events (TEAEs) including serious adverse events (SAEs)
Time frame: Up to Week 64
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.